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Kim Denise Potter, LPN
Licensed Practical Nurse in Bellport, New York
NPI 1992154496

Kim Denise Potter is a Licensed Practical Nurse based in Bellport, NY. Kim Denise Potter practices in Bellport, NY and has the professional credentials of LPN. The NPI Number for Kim Denise Potter is 1992154496 and holds a License No. 284000-1 (New York).

The current practice location address for Kim Denise Potter is 19 Sundown Dr, Bellport, NY and can be reached out via phone at 631-205-3823.

Location: 19 Sundown Dr, Bellport, NY, 11713-1133
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992154496
Provider Name
Kim Denise Potter
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
19 Sundown Dr, Bellport, NY, 11713-1133
Phone Number
631-205-3823
Fax Number
Provider Enumeration Date
06/07/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02878962 05 NY
institution
Provider Business Practice Location Address Details
Address
19 Sundown Dr
City
Bellport
State
New York
Zip
11713-1133
Phone Number
631-205-3823
Fax Number
person
Provider Business Mailing Address Details
Address
19 Sundown Dr
City
Bellport
State
New York
Zip
11713-1133
Phone Number
631-205-3823
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
284000-1 (New York)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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